Organization Active NPI

Ghiam Eye PC

Doing business as Ghiam Eye

  • Neuro-ophthalmology Physician
  • Encino, CA
National Provider Identifier
1710756424
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
Legal business name
GHIAM EYE PC
Doing business as
Ghiam Eye
Practice address
16542 Ventura Blvd Ste 515
Encino, CA 91436-4581
Phone
(818) 387-6565
Fax
(818) 387-6288
NPI assigned
Dec 21, 2023
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Benjamin Kambiz Ghiam, MDNPI 1669933966
Title
Director/Physician
Phone
(818) 625-8552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X Primary

Addresses

Primary practice location

16542 Ventura Blvd Ste 515
Encino, CA 91436-4581

Mailing address

16542 Ventura Blvd Ste 515
Encino, CA 91436-4581
Phone (818) 387-6565

Other names 1

  • Ghiam Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429001062 CA Part B Supplier - Clinic/Group Practice 0648610337 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

16542 Ventura Blvd
Ste 502
Encino, CA 91436

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1710756424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364581",
            "telephone_number": "818-387-6565",
            "fax_number": "818-387-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364581",
            "telephone_number": "818-387-6565",
            "fax_number": "818-387-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHIAM EYE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "GHIAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "KAMBIZ",
        "authorized_official_title_or_position": "DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "818-625-8552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ghiam Eye",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ghiam Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.